Pulmonary hypertension: modern methods of treatment and ways of their long-term development.

Authors

DOI:

https://doi.org/10.18413/rrpharmacology.9.10026

Abstract

Introduction: The purpose of this work is to review the main pathogenetic mechanisms of the development of PH, as well as modern established methods of treatment of various types of PH and to consider new, most relevant and promising possibilities of therapy for this pathology.

Etiology, pathogenesis and epidemiology: In the modern structure of diseases, pulmonary hypertension plays a significant role, affecting about 1% of the population. However, each of its five main groups has its own characteristics. The causes of pulmonary hypertension can be a polyetiological violation of the processes of endotheliocyte apoptosis and angiogenesis, passive transmission of increased pressure from the left heart to the small circulatory system, chronic hypoxia, leading to vascular remodeling, and many others. In general, it is worth noting that, despite the multiplicity of etiological factors, the main pathogenetic link in the development of pulmonary hypertension is endothelial dysfunction.

Treatment and promising areas of research: This article discusses the main established approaches to the treatment of pulmonary hypertension: general recommendations for patients, drugs used as supportive nonspecific therapy, as well as specific conservative and radical methods of treatment. In addition, the main modern directions of scientific research in the field of treatment of pulmonary hypertension are described. Such promising methods as the use of stem cells, gene therapy and epigenetic drugs are considered.

Conclusion: Despite active research and many different drugs intended for the treatment of pulmonary hypertension, this pathological condition remains an urgent health problem. Thus, the search for new points of application of therapy and fundamentally new methods of treatment of pulmonary hypertension remains relevant to this day.

Graphical Abstract

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Keywords:

pulmonary hypertension, endothelial dysfunction, treatment methods

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Strauss B, Sassi Y, Bueno-Beti C, Ilkan Z, Raad N, Cacheux M, Bisserier M, Turnbu

Author Contribution

Anna V. Zagrebelnaya, Belgorod State National Research University

Postgraduate student, Department of Pharmacology and Clinical Pharmacology, e-mail: Zagrebelnaya@bsu.edu.ruORCID ID https://orcid.org/0009-0002-5647-6000. The author was engaged in literature analysis and paper writing

Liliya V. Korokina, Belgorod State National Research University

PhD in Medical Sciences, Associate Professor of the Department of Pharmacology and Clinical Pharmacology, e-mail: korokina@bsu.edu.ru, ORCID ID https://orcid.org/0000-0002-4115-1564. The author was engaged in developing the concept and conducting the literature analysis.

Tatyana N. Malorodova, Belgorod State National Research University

PhD in Medical Sciences, Associate Professor of the Department of Pharmacology and Clinical Pharmacology, e-mail: malorodova_tn@mail.ru, ORCID ID https://orcid.org/0000-0002-4186-2577. The author made a contribution to collection, analysis and interpretation of the data for the paper.

Olesya V. Shcheblykina, Belgorod State National Research University

PhD in Medical Sciences, Associate Professor of the Department of Pharmacology and Clinical Pharmacology, e-mail: sheolvi31@gmail.comORCID ID https://orcid.org/0000-0003-0346-9835. The author was engaged in developing the concept and conducting the literature analysis.

Tatyana V. Avtina, Belgorod State National Research University

PhD in Pharmaceutical Sciences, Associate Professor of the Department of Pharmacology and Clinical Pharmacology, e-mail: tatyanavtina@yandex.ruORCID ID https://orcid.org/0000-0003-0509-5996. The author made a contribution to collection, analysis and interpretation of the data for the paper

Anton А. Bolgov, Belgorod State National Research University

Post-graduate student, Department of Pathology; e-mail: toxabolgovv@mail.ruORCID ID https://orcid.org/0000-0001-9708-8181. The author made a contribution to collection, analysis and interpretation of the data for the paper

Elena S. Malyutina, Belgorod State National Research University

PhD in Medical Sciences, Associate Professor of the Department of Pathology, e-mail: malyutina@bsu.edu.ru, ORCID ID https://orcid.org/0009-0008-5626-2460. The author made a contribution to collection, analysis and interpretation of the data for the paper.

Vladislav I. Simonov, Belgorod State National Research University

Medical student, e-mail: simonovvladislav@bsu.edu.ru. The author was engaged in structuring the article and arranging the references.

Vladislav A. Travkin, Gubkinskaya central district hospital

Surgeon, e-mail: vladislavtravkin91@yandex.ru. The author was engaged in structuring the article and arranging the reference.

Artem А. Dmitriev, Belgorod State National Research University

Medical student, e-mail: artemdmitriev200313@gmail.com, ORCID ID https://orcid.org/0000-0001-5844-4737. The author was engaged in structuring the article and arranging the references.

Amonullo A. Aripov, Belgorod State National Research University

Medical student, e-mail: 1506754@bsu.edu.ru, ORCID ID https://orcid.org/0009-0006-3811-1322. The author was engaged in structuring the article and arranging the references.

Dmitry V. Shcheblykin, Belgorod State National Research University

Post-graduate student, Department of Pharmacology and Clinical Pharmacology; e-mail: dmitryshch1@gmail.com,ORCID ID https://orcid.org/0000-0002-2420-2243. The author was engaged in literature analysis.

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27-05-2023

How to Cite

Zagrebelnaya AV, Korokina LV, Malorodova TN, Shcheblykina OV, Avtina TV, Bolgov AА, Malyutina ES, Simonov VI, Travkin VA, Dmitriev AА, Aripov AA, Shcheblykin DV (2023) Pulmonary hypertension: modern methods of treatment and ways of their long-term development. Research Results in Pharmacology 9(2): 37–54. https://doi.org/10.18413/rrpharmacology.9.10026

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Pharmacological reviews

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